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IPACHTE# Harnett County Department of Public Health Improvement Permit 26385 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Pocs i~P ISSUED T0: Wy n r r-'4°f5 ct,v C5 T -A SUBDIVISION l ec,--Eq 5 V'\o'~rc LOT # 11 NEW X REPAIR ❑ \EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: '5 F9 Proposed Wastewater System Type: CoNJ \oN P\1.,. Projected Daily Flow: s-7-A GPD Number of bedrooms: Ll~ Number of Occupants: 1~1 max Basement ❑Yes No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community "?4 Public ❑ Well Distance from well IOC feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: ~ -5 Date: \ lq N1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance her permits. The permit holder is esponsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Improvemen mit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED T0: yr~ ~N c~yG~s0~1 PROPERTY LOCATION: 'Docs tZp SUBDIVISION aar«~sis V_Nor,f- LOT # 1 Facility Type: 5 ~D x~6~ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes \i2l No Type of Wastewater System** G N s-ri N p,,L-- (Initial) Wastewater Flow: SRO GPD (See note below, if applicable C- N-4 G-4-\ I U r4 mot- (Repair) Installation Requirements/Conditions Number of trenches Li Septic Tank Size 10 CCD gallons Exact length of each trench 5 Q) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 1 Feet on Center Soil Cover: 14 1'.)- inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe Q~ inches above pipe ' inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifIcations of this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject to if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This construction Authorization is su ' ct tecompliance wi se pr of the Laws,and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: \ I ~r-, Constructio thorization Expiration Date: ' e 1N ~ HTE# 115~~~ Permit #3$~ ISSUED T0: Authorized State Agent: Harnett County Department of -tblic Health 1 L. U i 50 C Department of Environment, Health and Natural Resources Division of Environmental Health Sheet: shed: ID: On-Site Wastewater Section Lot Property SOIIJSIlTE rVALIIATION File {t: Code: for ON-,SITE WASTEWATER SYSTEM; Owner: Applicant: Addreaa: Date Evaluated: Proposed Facility: A Design Flow (.1949): Property Size: Locadov of Site; Property Recorded: 4 Watet supply; ° Public ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Method: Auger Boring ❑ Pit Type of Wastewater S ❑ I d Cut . ewage n ustrial Process Mixed; P R O F SOIL MORPHOLOGY OTHER 1 L .1940 L-KIACape Harim .1941 PROFIt$ FAC: iOR5 E Poeidad slope % Depot (la ) .1941 .1941 st W .1941 Soil 1043 .1956 .1944 Prolild . ' ucM Contixence Twdun Minmlo weland Cotar soil -DjgjjtNj_ 39" Re* Ctw Clue Hails. ALTAR i 2 # 1 ' V G „ ' ~ P 5 - ,S 7 I F7 17 -7 ,.f arm Site Clawcation (.1948k Evshmied By:c Others Present:~~